Health Assessment Tools - My Health Information Co-op

Health Assessment Tools. The following health assessment tools are available to Co-op members. These tools are not diagnostic. We provide them to assist members to have discussions with care providers about the impact their health condition(s) have on day-to-day life. FAMILY HEALTH HISTORY (PEDIGREE) Use the Co-op's Family Health History profile tool to create a pedigree chart showing the presence or absence of a trait within a family across generations. Family Health History WHODAS 2.0 Disability Assessment. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a widespread measure of disability and functional impairment. The 12-item self-report tool assesses difficulties due to health conditions but is not a diagnostic tool. Discuss your results with a physician and track how your treatment plan is impacting your day-to-day functioning. WHODAS 2.0 12-Item WHODAS 2.0 12-Item Step 1 of 4 25% This questionnaire asks about difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short of long-lasting, injuries, mental or emotional problems, and problems with alcohol or drugs. Think back over the past 30 days and answer these questions, thinking about how much difficulty you had doing the following activities. For each question, please select one response. S1 - Standing for long periods such as 30 minutes? Standing for long periods such as 30 minutes? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S2 - Taking care of your household responsibilities? Taking care of your household responsibilities? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S3 - Learning a new task, for example, learning how to get to a new place? Learning a new task, for example, learning how to get to a new place? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S4 - How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? How much of a problem did you have joining in community activities (for example, festivities, religious or other activities) in the same way as anyone else can? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S5 - How much have your been emotionally affected by your health problems? How much have your been emotionally affected by your health problems? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip Again, think back over the past 30 days and answer these questions, thinking about how much difficulty you had doing the following activities. For each question, please select one response. S6 - Concentrating on doing something for ten minutes? Concentrating on doing something for ten minutes? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S7 - Walking a long distance such as a kilometre [or equivalent]? Walking a long distance such as a kilometre [or equivalent]? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S8 - Washing your whole body? Washing your whole body? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S9 - Getting Dressed? Getting Dressed? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S10 - Dealing with people you do not know? Dealing with people you do not know? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S11 - Maintaining a friendship? Maintaining a friendship? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip S12 - Your day-to-day work/school? Your day-to-day work/school? None Mild Moderate Severe Extreme or cannot do Does not apply, unsure or wish to skip H1 - Overall, in the past 30 days, how many days were these difficulties present? Overall, in the past 30 days, how many days were these difficulties present? H2 - In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? In the past 30 days, for how many days were you totally unable to carry out your usual activities or work because of any health condition? H3 - In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health conditions? In the past 30 days, not counting the days that you were totally unable, for how many days did you cut back or reduce your usual activities or work because of any health conditions? Your score for the 12-item WHODAS 2.0 is a simple sum of the scores of all the questions you answered and can be helpful when describing your functional limitations with a physician. The full WHODAS 36 Item assessment uses a complex scoring method that allows for more fine-grained analyses that is used in a clinical setting. Simple ScoreWHODAS 2.0 12-Item Score.